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UHC Preferred Dual Complete FL-V1 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Dual Complete FL-V1 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Preferred Dual Complete FL-V1 (HMO D-SNP) in 2026, please refer to our full plan details page.
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) is a HMO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Broward and Miami-Dade Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Preferred Dual Complete FL-V1 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Preferred Dual Complete FL-V1 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Preferred Dual Complete FL-V1 (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Preferred Dual Complete FL-V1 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $2900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for UHC Preferred Dual Complete FL-V1 (HMO D-SNP)
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Drug Coverage
The UHC Preferred Dual Complete FL-V1 (HMO D-SNP) prescription drug plan features an annual deductible of $615. Under this plan, you will enjoy no copay for Tier 1 preferred generic drugs filled at standard pharmacies for 1-month and 3-month supplies, or through 3-month standard mail order. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance. This coinsurance rate applies to standard pharmacies and standard mail order services for 1-month and 3-month supplies depending on the specific drug tier.
Additional Benefits
The UHC Preferred Dual Complete FL-V1 (HMO D-SNP) offers comprehensive coverage with no copays and no coinsurance for many essential services, including inpatient hospital stays, primary care visits, and preventive care. Routine dental, vision, and diagnostic services are also covered with no copay, though there is a $250 annual allowance for eyewear. Most outpatient procedures and home health services also carry no copay, though some outpatient hospital visits may require a copay of up to $75. For specialized care, members pay no copay for skilled nursing facility stays up to 100 days, cardiac rehabilitation, and durable medical equipment, while dialysis and Medicare Part B drugs require up to 20% coinsurance. Emergency room visits carry a $150 copay that is waived upon hospital admission, and ambulance services require a $275 copay, though the plan includes up to 60 routine transportation trips per year at no cost. Additionally, routine hearing exams feature no copay, while prescription and over-the-counter hearing aids require copays ranging from $199 to $1,249.
Inpatient Hospital See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) partially covers inpatient hospital services with no copay and no coinsurance, though prior authorization is required. Under this plan, acute and psychiatric hospital stays are covered, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) covers outpatient services with no coinsurance, offering ambulatory surgical center, outpatient substance abuse, and outpatient blood services with no copays. Outpatient hospital and observation services require a copay ranging from $0 to $75, and prior authorization is required for most outpatient benefits.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Preferred Dual Complete FL-V1 (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Ambulance and Transportation Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, requiring prior authorization. Transportation services are partially covered, providing up to 60 one-way trips per year to plan-approved locations via taxi or medical transport with no copay and no coinsurance, while trips to any health-related location are not covered.
Emergency Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) covers emergency services with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services and worldwide emergency, urgent, and transportation services are also covered with no copay and no coinsurance.
Primary Care See details
Primary care and specialist services are covered by the UHC Preferred Dual Complete FL-V1 (HMO D-SNP) plan with no copay and no coinsurance, alongside telehealth, physical therapy, and mental health services. Although chiropractic services are not covered, the plan also includes up to six routine podiatry visits per year with no copay or coinsurance.
Preventive Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) offers partially covered preventive services with no copay and no coinsurance for covered benefits like annual physicals, fitness programs, and home safety devices. However, several supplemental options are not covered, including health education, personal emergency response systems (PERS), medical nutrition therapy, and therapeutic massage.
Hearing Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) offers partially covered hearing services with no coinsurance, including one routine hearing exam per year with no copay, though fitting and evaluation exams are not covered. The plan covers up to two OTC hearing aids per year with a $199 to $829 copay and up to two prescription hearing aids with a $199 to $1,249 copay, though inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by UHC Preferred Dual Complete FL-V1 (HMO D-SNP) with no copay, no coinsurance, and no deductible. The plan covers one routine eye exam per year and provides up to $250 annually for contact lenses and eyeglasses (lenses and frames), though other eye exam services, individual eyeglass lenses, and individual eyeglass frames are not covered.
Dental Services See details
Dental services are partially covered by UHC Preferred Dual Complete FL-V1 (HMO D-SNP) with no copay and no coinsurance for covered benefits like oral exams, cleanings, x-rays, fluoride, restorative services, removable prosthodontics, and oral surgery. However, other diagnostic, other preventive, adjunctive general, endodontics, periodontics, maxillofacial prosthetics, implants, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry no coinsurance to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
Medical equipment benefits are covered by UHC Preferred Dual Complete FL-V1 (HMO D-SNP) with no copay and no coinsurance for durable medical equipment (DME). Diabetic supplies feature no copay, diabetic therapeutic shoes and inserts have no coinsurance, and medical supplies and prosthetic devices are covered with no copay and 0% to 20% coinsurance.
Diagnostic and Radiological Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) covers diagnostic and radiological services, including lab work, diagnostic tests, therapeutic radiology, and outpatient X-rays, with no copay and no coinsurance. Prior authorization is required for these covered services.
Home Health Services See details
Home health services are covered by UHC Preferred Dual Complete FL-V1 (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) covers Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization is required. While some services are covered, specific sub-services including standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Preferred Dual Complete FL-V1 (HMO D-SNP) with no copay and no coinsurance for days 1 through 100, though prior authorization is required. Admission does not require a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Preferred Dual Complete FL-V1 (HMO D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meals with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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